Suture and Splint Compared With K-Wire Fixation for Open Zone 1 Extensor Tendon Injuries. Issue 2 (August 2018)

• Record Type: Journal Article
• Authors: Simonian, Marcus; Dan, Michael; Graan, David; Lumsdaine, William; Meads, Bryce
• Is Part Of: Annals of plastic surgery. Volume 81:Issue 2(2018)
• Publication Date: 2018-08
• Subjects: extensor tendon -- zone 1 -- mallet -- K-wire -- lag; Surgery, Plastic -- Periodicals; 617.95205
• DOI: 10.1097/SAP.0000000000001394
• Languages: English
• ISSNs: 0148-7043

Abstract

Abstract : Abstract: Extensor tendon injuries are classified as per the zone of injury. Zone 1 injuries disrupt the lateral bands with resultant inability to extend the distal interphalangeal joint. Open Zone 1 injuries have many well-described treatment options. To date, none of these have been compared directly. Our aim was to compare the benefit of additional Kirschner-wire fixation with suture repair and splinting of open Zone 1 extensor tendon injuries. We performed a retrospective cohort analysis comparing 2 different surgical procedures, "Suture and Splint" versus "Suture, Splint, and Kirschner wire." The 2 outcomes measured were final range of movement and lag. We had a total of 50 patients. There was no difference in range of motion and the mean length of splint time between the 2 groups. There was increased incidence of lag associated with Kirschner-wire group.